Journal of Advanced Nursing最新文献

Conflicts of Interest

The author declares no conflicts of interest.

Aims: Skin temperature, including absolute temperature (at bony prominence areas under long-term compression) and relative temperature (the difference between bony prominence and adjacent control area), may serve as early warning indicators for PI. However, the optimal indicator remains unclear. This meta-analysis therefore synthesises evidence on their association with PI risk to identify the best indicator and evaluate its early-warning accuracy.

Design: Systematic review and meta-analysis.

Methods: We included prospective cohort studies of adult patients investigating longitudinal associations between skin temperature and subsequent PI development. We pooled standardised mean difference (SMD) and odds ratios, complemented by summary receiver operating characteristic (SROC) curve analysis. The overall quality of evidence was evaluated using the GRADE method.

Data sources: We researched PubMed, Embase, CINAHL, Cochrane Library (CENTRAL), Wanfang and CNKI databases from inception to September 25, 2024.

Results: After screening 1354 titles and abstracts, ten studies comprising 1742 participants were included in the final synthesis. No significant difference in absolute temperature (combined SMD) was found between the PI and non-PI groups (seven studies included). In addition, decreased relative temperature (< -0.1°C) was associated with a 16-fold increased likelihood of PI (95% CI 6.38-40.19, I² = 79.4%) (three studies included), with the SROC curve analysis showing an AUC of 0.776. According to GRADE, the evidentiary certainty was very low for AT and low for RT.

Conclusions: Relative temperature is significantly related to the risk of PI, supporting its role as a promising early warning indicator. Future studies should establish a standardised measurement protocol to facilitate its clinical application.

Implications for the profession: Monitoring skin temperature changes holds promise as a non-invasive tool for early warning of PI risk. However, the amount and quality of available evidence limit our confidence in these findings, underscoring the need for further research before a definitive conclusion can be drawn.

Reporting method: This study followed PRISMA guidelines.

Patient or public contribution: No patient or public contribution.

Trial registration: PROSPERO CRD42024550099.

Aim: To identify and describe instruments used to assess obstetric violence and evaluate their methodological quality and psychometric properties.

Design: A scoping review.

Data sources: Ten databases [Medline (via PubMed), Web of Science, the Cochrane Library, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SinoMed, Wanfang Database, China National Knowledge Infrastructure (CNKI), VIP Database and China Medical Journal Full-text Database] were searched from inception to June 2025.

Methods: Studies focusing on the development or validation of obstetric violence measurement tools were eligible for this review. Methodological quality and psychometric properties were evaluated using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and criteria.

Results: A total of 19 studies encompassing 25 obstetric violence measurement tools were included. These studies were conducted in 15 countries between 2018 and 2025. The tools targeted postnatal and pregnant women, healthcare providers, students and other populations. Most studies reported data on content validity, structural validity and internal consistency. Limited information was available on cross-cultural validity/measurement invariance, reliability, measurement error, criterion validity, hypotheses testing for construct validity and responsiveness.

Conclusion: This review identified multiple obstetric violence instruments used across diverse populations and settings. Whilst the methodological quality and measurement properties of the included tools were sub-optimal, they nevertheless provide a foundation for the timely assessment of obstetric violence and subsequent research.

Implications for the profession: Future research should prioritise the establishment of a unified definition of obstetric violence, alongside the development, adaptation and rigorous validation of measurement instruments to enhance their reliability and validity.

Impact: This review underscores the need for maternity care professionals and educators to critically evaluate existing tools for measuring obstetric violence, given their current methodological limitations.

Reporting method: The PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist.

Patient or public contribution: No patient or public contribution.

Aims: To quantify medication discrepancies between an outpatient psychiatric service and general practitioners in northern France, and investigate general practitioner identification in psychiatric records.

Design: Quantitative, exploratory, retrospective, descriptive, monocentric study.

Method: Study conducted in 2022 on 112 patients, comparing medication lists between the medical and psychological center and general practitioners through medication reconciliation.

Results: Among the 33 patients (29.5%) with complete data allowing medication reconciliation, 84.8% had at least one discrepancy between medication regimens known to the outpatient psychiatric service versus those known to general practitioners. Discrepancies affected both psychiatric (85.7%) and nonpsychiatric medications (78.6%). 18.8% of the 112 patients did not have an identified general practitioner in the outpatient psychiatric records.

Conclusion: Medication reconciliation in outpatient psychiatry can improve treatment safety and create an opportunity for communication between care providers.

Implications: This study highlights opportunities for advanced practice nurses to improve medication safety and interprofessional communication in outpatient psychiatric care through medication reconciliation, which appears to be a reliable indicator for quantitatively assessing communication while actively creating opportunities for dialogue between outpatient psychiatric care facilities and primary care structures. The implementation of these practices could be supported by the advanced practice nurses recently introduced in France, by raising awareness among healthcare professionals, by contributing to the therapeutic education of patients and by supporting the use of digital health tools.

Reporting method: Compliance with EQUATOR RECORDS guidelines, extended from STROBE statements.

Patient or public input: This study did not include patient or public participation in its design, conduct, or reporting.

Background: Hypertension remains a critical health disparity among Black older adults, driven by factors such as socioeconomic inequities, chronic stress and barriers to healthcare access. Within this population, family relationships, particularly intergenerational interactions, significantly influence health behaviours and the management of hypertension remain understudied.

Aim: To explore intergenerational factors influencing hypertension prevention and management among Black older adults, focusing on how family relationships impact health behaviours, knowledge transfer and treatment adherence.

Methods: A discursive paper applying the Transtheoretical Model of Change and Self-Determination Theory as guiding frameworks to examine the role of family dynamics in hypertension management. PubMed, Scopus and Google Scholar were searched for peer-reviewed papers published from 2015 to 2025.

Discussion: The role of family in health behaviours is examined, including the transmission of health knowledge, caregiving dynamics and emotional support. Both barriers and facilitators to effective hypertension management are identified, including cultural beliefs, community resources and the impact of intergenerational role modelling.

Implications for practice: The discussion underscores the need for nurses to adopt family-centred approaches in hypertension management, considering the intergenerational influences on health outcomes. Recommendations for integrating these insights into clinical practice and nursing education are provided.

Conclusion: Understanding the intergenerational context of hypertension management can enhance patient care by improving adherence and prevention strategies. Future research should further explore the role of family in managing hypertension among Black older adults.